WM0401528_Monitoring well permit applicaiton -2, WM0401528_20240424

AECOMAECOM
6000 Fairview Road,Suite 200
Charlotte,NC 28210
aecom.com
March 30, 2024
Unique Transportations LLC AECOM Project#60690082
442 N Bridge Street
Jonesville, North Carolina 28642
RE: Temporary Access to Install Monitor Well(s)
442 N Bridge Street
Jonesville, North Carolina 28642
Dear Sir or Madam:
AECOM has been retained by Speedway, LLC(Speedway)to perform an environmental assessment of the soil and
groundwater at the referenced site. In order to complete the assessment,the installation of two groundwater monitor
wells (MWs)on the property located at 442 N Bridge Street in Jonesville, NC is necessary. Enclosed is a Temporary
Access Agreement(TAA)for installation of two monitor wells on the subject property. The monitoring wells will be
installed on the south edge of the property near N Bridge Street.Also, enclosed you will find Attachment A illustrating
the adjoining Speedway property and the approximate location of the proposed monitor wells,Attachment B showing
the appearance of a typical monitor well, and Attachment C describing the protocol for drilling, maintaining, and
removing off-site monitor wells. Every effort will be made to schedule drilling at a time convenient to you.
Please review and, if acceptable, please sign the Temporary Access Agreement and return all to AECOM within ten
(10)business days via email. Once executed by Speedway, the original will be returned to you.
AECOM appreciates your cooperation in this matter. If you have any questions or require additional information,
please contact Nicole Long at(704)649-6586. Thank you very much.
Sincerely,
AECOM
Nicole Long Marie Treiber
Project Manager Regional Senior Project Manager
Nicole.Lonq(a)aecom.com [e-mail]

A=COM
Unique Transportations LLC
442 N Bridge Street
Jonesville, North Carolina 28642
Date: March 30 2024
Mr.Sir or Madam:
Speedway LLC(Speedway),as owner of the real property located 441 S Bridge Street in Jonesville, NC 28642,
has been directed by the regulations and/or environmental agency of the State of North Carolina("State")to
investigate possible contamination in the vicinity of your property located at 442 N Bridge Street in Jonesville,NC
28642("Property"). In connection with such investigation, Speedway may be required to install,operate,and maintain
wells on your Property. Such investigation will be undertaken by Speedway at Speedway's sole cost and expense
and will be commenced and completed in a workmanlike manner. Subject to any requirements of the State,
Speedway will use reasonable efforts to minimize interference with current operations on your Property. Upon
completion of the above investigation,Speedway will,at its cost and expense,restore the portion of your Property
utilized by Speedway to a condition substantially equal to its condition immediately prior to the commencement of
such investigation. Speedway may be entitled to receive reimbursement under the State reimbursementlinsurance
program for any expenses incurred by it in connection with the above investigation. If such is the case,Speedway will
retain any reimbursement funds it receives.
If the foregoing is acceptable,please execute the enclosed copy of this letter and return the same in the enclosed self-
addressed stamped envelope to:
AECOM
Nicole Long
6000 Fairview Road,Suite 200
Charlotte,NC 28210
[phone]
Nicole.Long(a)aecom.com
Very truly yours,
Speedway,LLC
By:Samuel Kramer
Title:Manager Environmental Services
r
By execution hereof, I, 4' 6 a G I T. i i,24,owner of the Property,hereby acknowledge the foregoing and
agree to grant Speedway and its employees and contractors'access to such Property for such period of time as
reasonably necessary to complete the investigation described above. In addition, I agree that,if requested by,
Speedway I will cooperate with it in connection with any applications for reimbursements that it may make with the
State.
By: /
(Print Name) ,�!
Date:

A=COM
ATTACHMENTA
Proposed Monitor Well Location Map

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FIGURE 3A: SITE VICINITY MAP
SPEEDWAY#6944
441 SOUTH BRIDGE STREET (INT. OF ELM
& N. BRIDGE ST)
= JONESVILLE, YADKIN COUNTY
� NORTH CAROLINA
;a 250-FOOT RADIUS INCIDENT NO. 47048
C21 GRI NO. 5350
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PREPARED BY:
GEOLOGICAL RESOURCES, INC.
NOVEMBER 10, 2020
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LEGEND Note:
1. This Site Map is based on data from the Yadkin County, NC
sv EMERGENCY SHUT—OFF VALVE GIS office.
2. This site was not professionally surveyed; locations of
O FUEL DISPENSER utilities, tank components and other site features are
approximate.
-——————- FORMER UNDERGROUND STORAGE TANK
PRODUCT PIPING LINE
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Speedway #6944 411 S Bridge Street
Incident No. 47048 Jonesville, Yadkin County,
( IN FEET ) GRI Project No. 5350 NC
Geo/ogica/ Resources, /nc. 1 inch —30 ft Date: 06/27/2022 Drawn by: DTH Figure: 2

Owner Name: UNIQUE TRANSPORTATIC
Address: 442 N BRIDGE ST
123855 -
xr Town: JONESVILLE
PIN: 495119516369
1 Parcel ID: 123860
Deed Ref: 1109/0226
- Total Acres: 0.496
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L ' Proposed well location
44
Proposed well location
Establis e
123854 `Y;
Yadkin County
! North Carolina
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October 5, 2023
Mapping information is a representation of various data sources and is not a substitute for information that would result from an accurate
land survey. In no event shall Yadkin County Planning Department or Yadkin County, NC be liable for any damages,direct or consequential,
from the use of the information contained on this map. 1:444
0 0.0035 0.007 0.014 mi
■ Addresses 0 0.005 0.01 0.02 km
E] Parcels
Street Centerlines
<all other values>

Client: Speedway#6944 WELL ID:
_ Project Number:
A=COM Site Location: 441 South Bridge Street,Jonesville, NC Date Installed:
Well Location: Coords: Inspector:
Method: Auger and Air Rotary Contractor:
WELL CONSTRUCTION DETAIL
Depth from G.S.(feet) Elevation(feet)
Datum
Top of Riser Pipe 0.0
Ground Surface(G.S.) 0.0
Riser Pipe:
Length 5
Diameter(ID) 1"
Type of Material PVC
Thickness Sch 40
Grout:
Type Neat Cement
Thickness
Top of Bentonite 7'
.............. ..............
!!! !! Bentonite Seal Thickness 2
i
.............. ..............
Top of Sand 9
Top of Screen 12'
.Stabilized Water Level
Screen:
Length 10,
Diameter(ID) 2"
Slot Size 10 Slot
Type of Material PVC
Thickness Sch 40
Type/Size of Sand #2
Sand Pack Thickness 32
Bottom of Screen 27
Bottom of Tail Pipe: 27
Bottom of Borehole 27
Borehole Diameter 2.25"ID Geoprobe
Describe Measuring Point:
Signature Date

A=COM
ATTACHMENT B
Color Photograph of Typical Monitor Well

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ATTACHMENT C
PROTOCOL FOR DRILLING, MAINTAINING,AND REMOVING OFF-SITE WELLS
The proposed monitor well(s)will be installed to an appropriate depth below ground level. It will be drilled
with a mobile drilling rig, direct push equipment, or a"hand-auger,"depending on overhead and available
space restrictions. The monitor well(s)will be constructed with threaded, PVC pipe and installed properly
to meet all appropriate local/state water well rules and regulations. The top of the monitor well(s)will be
completed to be at, or slightly below, ground level and will be encased in a"water-tight"steel manhole
box and secured in order to protect it and not interfere with typical, everyday use of the land around it.
The length of time required for installation is approximately four(4)to six(6)hours(actual time may vary).
The area around the proposed monitor well(s)will be cleaned up after installation is completed.
Groundwater will be checked with an electronic probe and samples collected from the monitor well(s)
once per quarter, or as directed by the appropriate regulatory agency. These activities will typically be
completed by one(1)person. The length of time required for this activity is approximately one and one-
half(1 '/2)hours per quarter.
When the monitor well(s)is no longer needed or required by the regulatory agency for groundwater
monitoring, to the extent permitted to do so,the monitor well(s)will be plugged according to appropriate
State Water Well Rules and Regulations. After the monitor well(s)is plugged,the area around it will be
restored as stated in the temporary access agreement.

NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY-DIVISION OF WATER RESOURCES
APPLICATION FOR PERMIT TO CONSTRUCT A MONITORING OR RECOVERY WELL SYSTEM
PLEASE TYPE OR PRINT CLEARLY
In accordance with the provisions of Article 7,Chapter 87,General Statutes of North Carolina and regulations pursuant thereto,
application is hereby made for a permit to construct monitoring or recovery wells.
1. Date: 3/30/2024 FOR OFFICE USE ONLY
2. County: Yadkin PERMIT NO. ISSUED DATE
3. What type of well are you applying for?(monitoring or recovery): Monitoring
4. Applicant: Speedway,LLC. Telephone: [phone]
Applicant's Mailing Address: 500 SDeedway Drive Enon Ohio 45323
Applicant's Email Address(if available): Samuel Kramer(c)7-11 com
5. Contact Person(if different than Applicant): Nicole Long Telephone: [phone]
Contact Person's Mailing Address: AECOM,6000 Fairview Road,Suite 200.Charlotte, NC 28210
Contact Person's Email Address(if available): Nicole.Long(aAECOM.com
6. Property Owner(if different than Applicant): Unique Transportations LLC Telephone Unknown
Property Owner's Mailing Address: 442 N Bridge Street,Jonesville,NC 28642
Property Owner's Email Address(if available): Unknown
7. Property Physical Address(Including PIN Number) 442 N Bridge Street,PIN:495119516369
City Jonesville County Yadkin Zip Code 28642
8. Reason for Well(s): Assessment Assessment
(ex: non-discharge permit requirements,suspected contamination,assessment,groundwater contamination,remediation,etc.)
9. Type of facility or site for which the well(s)is(are)needed: UST
(ex: non-discharge facility,waste disposal site,landfill, UST,etc.)
10. Are there any current water quality permits or incidents associated with this facility or site? If so,list permit and/or incident no(s).
N/A
11. Type of contaminants being monitored or recovered: Petroleum
(ex: organics,nutrients,heavy metals,etc.)
12. Are there any existing wells associated with the proposed well(s)? If yes,how many? No
Existing Monitoring or Recovery Well Construction Permit No(s).: WA
13. Distance from proposed well(s)to nearest known waste or pollution source(in feet): Unknown
14. Are there any water supply wells located less than 500 feet from the proposed well(s)? No
If yes,give distance(s): N/A
15. Well Contractor: Geological Resources, Inc. Certification No.: 3270
Well Contractor Address: 2301 Haves Road,Monroe,NC 28110
PROPOSED WELL CONSTRUCTION INFORMATION
1. As required by 15A NCAC 02C.0105(f)(7),attach a well construction diagram of each well showing the following:
a. Borehole and well diameter e. Type of casing material and thickness
b. Estimated well depth f. Grout horizons
C. Screen intervals g. Well head completion details
d_ Sand/gravel pack intervals
Continued on Reverse

PROPOSED WELL CONSTRUCTION INFORMATION (Continued)
2. Number of wells to be constructed in unconsolidated 5. How will the well(s)be secured? Grout
material: 2
3. Number of wells to be constructed in bedrock: N/A 6. Estimated beginning construction date: November 2023
4. Total Number of wells to be constructed: 2 7. Estimated construction completion date:November
(add answers from 2 and 3) 2023
ADDITIONAL INFORMATION
1. As required by 15A NCAC 02C.0105(f)(5),attach a scaled map of the site showing the locations of the following:
a. All property boundaries,at least one of which is referenced to a minimum of two landmarks such as identified roads,
intersections,streams,or lakes within 500 feet of the proposed well or well system,
b. All existing wells,identified by type of use,within 500 feet of the proposed well or well system.
C. The proposed well or well system.
d. Any test borings within 500 feet of proposed well or well system.
e. All sources of known or potential groundwater contamination(such as septic tank systems,pesticide,chemical or fuel
storage areas,animal feedlots as defined in G.S. 143-215.10B(5),landfills,or other waste disposal areas)within 500 feet
of the proposed well or well system.
SIGNATURES
The Applicant assumes total responsibility for ensuring that the well(s)will be located,constructed,maintained,and abandoned in
accordance with 15A NCAC 02C.
Li /,
Project Manager-as limited field agent for Speedway
Signature of Applicant or*Agent Title of Applicant or`Agent
Nicole Long 'If signing as Agent,attach authorization
agreement stating Printed name of Applicant or*Agent that you have the authority to act as
the Agent.
If the property is owned by someone other than the Applicant,the property owner hereby consents to allow the Applicant to construct
well(s)as outlined in this Well Construction Permit application and acknowledges that it shall be the responsibility of the Applicant to
ensure hat the well(s)will be located,constructed,maintained,and aban ed in accordance with 15A NCAC 02C.
Signature of Property Owner ' diffe Applicant) Printed name of Property Owner(if ' e t than Applicant)
DIRECTIONS
Please send the completed application to the appropriate Division of Water Resources'Regional Office:
Asheville Regional Office Raleigh Regional Office Wilmington Regional Office
2090 U.S.Highway 70 3800 Barrett Drive 127 Cardinal Drive Extension
Swannanoa, NC 28778 Raleigh,NC 27609 Wilmington,NC 28405
Phone: [phone] Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone] Fax: [phone]
Fayetteville Regional Office Washington Regional Office Winston-Salem Regional Office
225 Green Street,Suite 714 943 Washington Square Mall 450 W.Hanes Mill Road
Fayetteville,NC 28301-5094 Washington,NC 27889 Suite 300
Phone: [phone] Phone: [phone] Winston-Salem,NC 27105
Fax: [phone] Fax: [phone] Phone: [phone]
Fax: [phone]
Mooresville Regional Office r
610 East Center Avenue Wi Sol
Mooresville,NC 28115 r ci
y , `
Phone: [phone] — -' ,.
Fax: [phone]
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GW-22WR(Rev.5-26-2022)